| LCA CASE NUMBER | I-200-21230-530615 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-18 |
| DECISION DATE | 2021-08-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-15 |
| END DATE | 2024-09-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Olean General Hospital |
| EMPLOYER ADDRESS1 | 515 Main Street |
| EMPLOYER CITY | Olean |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14760 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17163756302 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | LaRowe |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC MIDDLE NAME | E. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 515 Main Street |
| EMPLOYER POC CITY | Olean |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14760 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17163756302 |
| EMPLOYER POC EMAIL | mlarowe@uahs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hitz |
| AGENT ATTORNEY FIRST NAME | Alison |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 505 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Floor 13 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159848563 |
| AGENT ATTORNEY EMAIL ADDRESS | ahitz@ClarkHill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 116 Interstate Parkway |
| LCA CASE WORKLOC1 CITY | Bradford |
| WORKSITE COUNTY | MC KEAN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 16701 |
| LCA CASE WAGE RATE FROM | 233404 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102149 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hitz |
| PREPARER FIRST NAME | Alison |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ahitz@ClarkHill.com |
